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Before & Afters - Lower Body Lift (Belt Lipectomy)

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This is a lady that had lost about 50lbs. from diet and exercise after a pregnancy.  She wished some improvement in her abdomen and flanks. The mons was ptotic.  She basically had a double pannus on the abdomen.  The upper aspect of her buttock was hidden by large flank collections.  She underwent a belt lipectomy which incorporated suctioning of her abdomen and flanks.  This elevated the mons and flattened it against the pubic bone.  The abdomen was sculpted leaving midline raffia. The operation narrowed her waist to a much more feminine contour.  The recovery was uneventful.  She has gotten a very nice result.

 

Photos submitted by Dr. Owen-54794

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This is a lady who lost some weight following a gastric sleeve.  She had symptomatic folds of skin on her abdomen and her back.  She underwent a panniculectomy on the front and we converted it to a belt on her backside.  Her muscles were not repaired.  Nonetheless, she got a very nice result with improvement in her contour and a more feminine flank and we removed skin touching skin to address the rashes.  She is photographed before surgery and several months afterwards.  She is extremely pleased with the improvement.

 

Photos submitted by Dr. Owen-55884

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This is a middle-aged female who has had a gastric sleeve some years ago.  She lost from 280lbs. to 190lbs.  She has no medical problems.  She wanted improvement in her abdomen and flanks.  She underwent a belt lipectomy which incorporates the looseness of the abdominal wall and removal of all the redundant skin around the circumference of her abdomen.  The scar is placed low so it can be hidden.  It elevates, triangulates, and flattens the mons.  In addition to resecting excess skin across the flanks this area is suctioned to give a more concave contour.  The goal is to create a backside that is “S” shaped as opposed to “B” shaped.  Before and three month post op pictures are shown.  She has gotten about a good as a result as you could get.  She has a very well defined waist.  The surgery has elevated and rounded her bottom.  Suctioning of the abdomen has created the normal abdominal contour.

 

Photos submitted by Dr. Owen-56070

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This is a middle-aged female who has had a gastric sleeve some years ago.  She lost from 280lbs. to 190lbs.  She has no medical problems.  She wanted improvement in her abdomen and flanks.  She underwent a belt lipectomy which incorporates the looseness of the abdominal wall and removal of all the redundant skin around the circumference of her abdomen.  The scar is placed low so it can be hidden.  It elevates, triangulates, and flattens the mons.  In addition to resecting excess skin across the flanks this area is suctioned to give a more concave contour.  The goal is to create a backside that is “S” shaped as opposed to “B” shaped.  Before and three month post op pictures are shown.  She has gotten about a good as a result as you could get. She has a very well defined waist.  The surgery has elevated and rounded her bottom.  Suctioning of the abdomen has created the normal abdominal contour.

 

Photos submitted by Dr. Owen-56147

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This is pre-op and two month post-op photographs of a middle-aged female who has had multiple children and C-sections that wished improvement in her truncal contour.  She has lost some weight with diet and exercise.  Her main issue was loose skin resulting from pregnancy.  In addition to the loose skin and large pannus, her mons was ptotic and she had a lot of fat across her flanks.  She underwent a belt lipectomy with repair of the abdominal wall musculature.  She had suctioning and the excess skin on her front and backside excised to give her a more youthful contour.  The surgery elevated and flattened the mons and put it in its normal anatomic position.  The surgery gave her a more youthful backside.  Her clothing fits much better and she has much more confidence in her appearance. 

 

Photos submitted by Dr. Owen-56234

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These are before and after pictures of a lady that had a gastric bypass n the early 2000's. She went from 315 lbs. down to 200lbs. She is a medical professional. She preoperatively had three folds across her abdomen and was having rash issues between these folds. She had a great deal of redundant skin across her flanks. She underwent a belt lipectomy hich addressed the redundant skin and fat around the circumference of the lower abdome . She opted against a fleur de le belt lipectomy which would have tightened the skin of the pper abdomen.  She had some wound issues in the suprapubic areas that required minor revisions. She is shown postoperatively three months after the revision. She has gotten a markedly improved contour in her abdomen and her backside. She has a more feminine contour across her flanks. The rolls on the abdomen are gone. She is extremely pleased with her appearance. She feels better and looks better in the fit of her clothing. 

 

Photos submitted by Dr. Owen-54958

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This patient had a prior augmentation/mastopexy with a tummy tuck. She had some residual, redundant tissue along the lower poles of her breasts. This created a less than optimal contour. Her tummy tuck scars were high and could not be hidden in clothing her mons was still droopy. She underwent revision of her mastopexy scars and tummy tuck scars. This put the scars lower on her torso so that they could be hidden by intimate apparel and bathing suits. Also, I carried out the completion of a belt lipectomy removing excess skin and fat across her flanks. This tightened up and smoothed out the contour of her flanks. It tightened I p the redundant skin across her buttocks. She got a very nice result with improvement in her truncal contour. 

 

Photos submitted by Dr. Owen-55079

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This is a 60ishYO lady that is about 150lbs. She wished some improvrient in both the breasts and her abdomen. She wanted the abdomen more flat and some more ontouring on her backside. She on exam had redundant tissue in her flanks that created "B" shaped buttock almost square shaped. Her abdominal muscles had separated and her female genitalia were directed downward. Her abdominal muscles had stretched out. She underwent a belt lipectomy which involved both suctioning of the subcutaneous fat of the abdomen and the deep fat across the flanks with a circumferential excision of the redundant skin on her abdomen, flanks, and buttocks. This in affect flattened her torso and gave her a more feminine shaped buttock with an "S" shape to the flank and buttock contour. It elevated, flattened, and triangulared the mons. It converted her almost square backside silhouette to a more feminine triapgular shape. She has gotten a really nice result. Once she has recovered from this surgery we plan on some breast surgery. 

 

Photos submitted by Dr. Owen-55226

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This is a lady who had a gastric sleeve done in 2018 and has lost abou 11 Olbs. She presented at a weight of 150lbs. She wanted improvement in her breasts, torso, an her thighs at a later date. She had a double pannus on her abdomen with loose skin around the circumference of her torso with skin piling up over the trochanters and the flanks. She underwen two operations the first being a belt lipectomy to address the front and back of the torso. ·This removed the excess skin on her abdomen and across her flanks. It gave her a more feminine co tour on the front and back. At a later date she underwent a mastopexy. This got her breast back up on her chest with a much more youthful shape. She has gotten a very nice result and is xtremely pleased, as am I. We give these operations about a year and then revisit to see if any to chups or scar revisions are necessary or desirable. 

 

Photos submitted by Dr. Owen-55128

Facelift
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This is a 34YO lady that had some excessive hanging skin and fat in her lower abdomen and in the flank area. She had problems with her clothes fitting properly as well as rashes beneath the skin and fat.  She underwent a belt lipectomy.  We have been able to flatten her abdomen and tighten the skin. I resected some excessive fat in the flank area as well.  Now, she has a much better shaped waist and can wear whatever type of clothing she wishes. After about 6-8 months the scars become insignificant in most patients.  

 

Photos submitted by Dr. Feagin-53734

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This is a middle aged healthy female seen for both a breast reduction and contouring surgery on her abdomen.  Her breasts were large and symptomatic and she was ultimately a good candidate for a breast reduction.  She also desired some improvement in her truncal contour specifically the apron across her abdomen and the fullness across her flanks.  She had excess skin and fat on her abdomen and flanks as well as stretched out muscles as a result of pregnancies.  She decided to do the abdominal surrey first to give a better idea of the size breasts she ultimately wanted to have to match the torso.  She underwent a belt lipectomy which involved tightening the rectus muscles, suctioning the abdomen and flanks, and removing excess skin across the abdomen and flanks.  This results in a circumferential scar around the torso that is low where it can be hidden.  It also elevates, triangulates, and flattens the mons to a more youthful appearance. She now has a defined waist. Clothes, lingerie, and swimwear fit much better.  She is more comfortable sitting.  As shown in the before and after photos sitting, she no longer has a belt of skin and fat extending out over her thighs.  She has gotten a very nice result from her surgery.  She is quite pleased and anticipates pursuing the breast surgery within the year.

 

Photos submitted by Dr. Owen-53682

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This is a 40YO lady from Fort Walton Beach, Florida who had a lot of rippling and irregularity to her buttocks as well as an area of thick fat in the flank area.  She underwent a butt lifting procedure as well as fat grafts to the buttocks.  This has reshaped her flank and buttock contour as well as significantly smoothed off the rippling and irregularity that she had in her buttocks.  Now she has a nice shape to the butt and the upper buttocks area.  As you can see from the back view, the butt is much smoother and the contour of the upper buttocks area has been significantly improved as well as the contour of the lower buttocks.  On the side view, you can see the projection of the buttocks and excision of the loose tissue in the upper lateral buttocks and waist area.  

 

This procedure is done as an overnight admission to the hospital.  

 

Photos submitted by Dr. Feagin-54058

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This is a 30YO lady from Fort Walton Beach, Florida.  She has struggled with excessive fat around the waist, abdomen, and flank and back area.  She has dieted for over 10 years and has not made any progress.  She underwent a belt lipectomy.  As you can see, the abdomen is much flatter and the skin is tight. We have almost eliminated all the rolls she had on her back and flank area.  She now has a good shape to the waist and is able to wear much more tight fitting clothing.

 

Photos submitted by Dr. Feagin-53574

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This is a 35YO lady from Panama City, Florida.  She was interested in having her large, hanging abdominal panniculus removed with some shaping of the upper buttocks and flank areas.  She underwent a belt lipectomy.  As you can see pre-operatively, she has a lot of skin hanging in her pubic area in the front as well as way over onto her side.  Also, from the back view, she has bulging of the lower flank and upper hip area.  The belt lipectomy has resolved her problems.  She is only a couple of months out from surgery and the scars are still quite red.  The redness will fade over time and will eventually be barely imperceptible.  

Photos submitted by Dr. Feagin-53136

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This is late 30ish female who has had several children wished improvement in her truncal contour. She had loose abdominal skin and had loose skin around the circumference of her torso.  Her mons was low and stretched out.  She had lost a lot of contour across her back a d buttock from loose, stretched out skin.  She underwent a belt lipectomy and suctioning of the flanks and abdomen.  This operation removes redundant skin on the front and the backside and improves the frontal contour, side to side silhouette, and even the backside.  Removing excess skin and suctioning the flanks is 90% of a Brazilian butt lift and this improves and creates more “S” shaped contour going from the flank into the buttocks.  It helps raise the buttock contour and give a much more feminine shape.  It changed her backside contour from an almost perfect square to a more triangular shape and gave some roundness to her buttock and even some projection.  The transition from her buttock into her posterior thigh is more youthful and her mons is now flat and elevated.  Her muscles have been repaired and her abdomen is now flat.  You can see the contour of the rectus muscle on either side of the midline and a feminine and not over flattened abdominal contour. The umbilicus is smaller and triangular in shape.  The scars are for the most part hidden in the depths of the umbilical cone.  She has gotten a very nice result and demonstrates many of the fine points that you wish to see on a well done abdominoplasty.

 

Photos submitted by Dr. Owen-52593

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This is a 40ish YO healthy female who has had multiple pregnancies.  She had stretch marks that extended almost to the rib margin.  On her backside she had flank collections with an almost featureless, square torso.  Shown are pre and post op photographs for a belt lipectomy.  This procedure involved suctioning of the abdomen, flanks, and repair of the loose abdominal muscles which created a flat abdomen.  The loose skin was excised within a bikini line scar that is placed low so that it can be camouflaged by even the most revealing clothing.  The low scar also elevates and triangulates to give a more youthful shaped mons.  She had an uneventful recovery and has gotten a nice result.

 

Photos submitted by Dr. Owen-#54402

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This is a healthy 30ishYO female who has had several children and wants some improvement in her truncal contour.  She had large flank collections, square-shaped buttock and flank, and a large protuberant abdomen from her muscles being stretched out from childbirth.  She underwent a belt lipectomy which incorporated suctioning of the abdomen and flanks.  Post op pictures are showed at 2 months.  She has gotten a spectacular result from the surgery with a much shapelier feminine contour.  Her square buttock has been transformed to a more feminine “S” shape.  She will get continued improvement in the contour of the lower abdomen and the flanks.  At her one year anniversary, we are hoping to go back and do more high definition liposuction to her abdomen to give more contour.  This can be done very safely as a secondary procedure without jeopardizing wound healing. 

 

Photos submitted by Dr. Owen-#54596

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This is a lady who had a gastric sleeve a year ago.  She went from 350lbs. to 215lbs. and remained stable at that weight for a good six months.  She wanted improvement in her abdomen and flanks and at a later date, her breasts.  On exam, she had a prominent pannus and loose skin that covered the majority of her female genitalia.  Her backside over her flanks and back were fleshy as were the lateral thighs.  There is a specific operation that helps address the lateral thighs and she declined that.  She underwent a belt lipectomy.  This includes liposuction of the upper abdomen and flanks.  This can be seen on the photographs.  It improves the folds on the upper back and contour and tightenss of the buttocks.  It does not address the saddle bags.  The incision is placed low so that more revealing clothing can be worn.  It elevates and triangulates the mons to give a more feminine shape.  Shown are before and 2-3 months postoperatively.  She has gotten a very nice result with marked improvement in her abdomen, flanks, and upper back as well as her buttock. The scars are flat and soft and the redness will continue to improve over the next year.  We are now moving ahead with plans to address her breasts.

 

Photos submitted by Dr. Owen-#54380

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This is a young lady who has had 3 children.  She is a workout person and despite all of her efforts was unable to improve the appearance of her torso specifically her abdomen.  She has a protuberant rounded abdomen from her muscles being stretched.  She had loose skin that extended all the way around the torso.  An abdominoplasty alone would not have addressed the loose skin across her flanks and buttocks.  She underwent a belt lipectomy which tightened the loose, abdominal muscles, flattened her abdomen, and also tightened the loose skin that extended around the torso.  This also included suctioning of the flanks that gave her a more feminine backside shape.  She had an uneventful recovery and has gotten a very nice result.

Photos submitted by Dr. Owen-#54105

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This is a 40YO lady who has had some significant weight loss.  However she has a large, hanging abdominal panniculus.  She was quite full in the flank area posteriorly.  Her buttocks were also flattened.  She underwent a belt lipectomy with fat grafting to the buttocks.  You can see that the buttocks are now filled out much better and have a much better shape.  Also, the posterior view shows much more curvature to her waist area.  Now from the back view, she has a more feminine shape.  This is markedly improved and allows her to wear much more stylish clothing. 

 

Photos submitted by Dr. Feagin-#52675

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This is a near 40YO female who had a gastric sleeve operation and lost form 350lbs. down to 215lbs.  She remained stable at this weight for about 6 months.  Her biggest issues were her breasts and her abdomen.  She had a large abdominal pannus that actually covered her mons.  She had large, fleshy flanks and trochanteric and buttock collections.  This was basically piled up, redundant skin.  She underwent two operations about six months apart.  The first operation was a belt lipectomy to tighten her abdominal muscles is remove excess skin from her abdomen, buttock, and flanks.  This was done in conjunction with liposuction.  Following this, she underwent an augmentation/mastopexy with 500cc saline implants.  She has gotten a spectacular result from both her torso and her breast surgery.  Shown here are before and 3 month post operative photographs.

 

Photos submitted by Dr. Owen-#54380

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This is a patient who had bilateral mastectomies for breast cancer.  She initially presented in my office for breast reconstruction.  She underwent reconstruction with expanders and implants.  She did well from this.  She then decided to reconstruct the nipple areolas complexes and part of that operation required skin to rebuild the areola portion of the nipple reconstruction.  She had a protuberant abdomen with excess skin and decided to do a belt lipectomy.  The skin excised from this operation was then used to reconstruct the areolas.  Shown are before and after photos.  She got a very nice result from her surgery.  She has a much improved truncal contour.  Her flanks converted from a “B” deformity to a more feminine “S” contour from her flanks onto her buttocks.  Her abdomen is more flattened and has a feminine contour.  She has gotten an excellent result from both the breasts and her contouring surgery.  She is extremely pleased.

Photos submitted by Dr. Owen-#54285

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This is before and after on a young lady that underwent a belt lipectomy.  Part of this operation was removing and contouring excess skin and fat across the flank and fat grafting of the buttock.  Her post op pictures are at about 2 months. She has a much improved contour with a more defined waist.  The operation has given her more of an “S” shaped flank and backside contour.  She has a more rounded aesthetically pleasing buttock which blends into a more pleasing contour of the flanks.  The scar is flat and soft.  The redness will continue to improve the assuming year. 

 

Photos submitted my Dr. Owen-#54910

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This is pre and 2 month post ops on a young female who lost some weigh with diet and exercise.  She wished some improvement in her truncal contour.  She had children and her biggest issue was her abdomen and her flanks.  She underwent a belt lipectomy which removes skin and fat around the circumference of the torso.  The post op pictures demonstrate a very nice result from this surgery which typically improves the contour of the flanks and the buttocks.  This has given her a more defined waist and has improved the contour and roundness of her buttocks.  It has created an S shaped contour of the flank junction with her buttocks.  Her clothing fits better and she looks much more feminine in intimate clothing.

 

Photos submitted by Dr. Owen-#54558

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This is a middle-aged, healthy female who wished some improvement in her torso specifically a breast reduction to address the discomfort across her shoulders, back of her neck, and between her shoulder blades.  She is 5’1” tall and weighs 138lbs.  She is a 34DDD.  She also wanted some improvement in her torso specifically she wanted her abdomen flattened and some contouring on her backside as well as some fat grafting to her buttock.  She had a series of operations the first being a breast reduction.  The recovery for the breast reduction was uneventful.  She had basically complete resolution of her neck, back, and shoulder symptoms.  Post operatively she was a C cup.  About a year and a half later, she underwent a belt lipectomy with fat grafting to her buttocks.  This operation flattened her protuberant abdomen, created an “S” shaped contour on her backside, and added projection with roundness to her buttocks.  Shown are pre-op and two month post op belt lipectomy photographs.  She has gotten an extremely nice result from both the breasts and the belt lipectomy.

 

Photos submitted by Dr. Owen-#52933

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This is a 38YO lady who had a large, hanging abdominal panniculus.  There were excessive rolls in her flanks.  This large roll of hanging fat in the groin area causes a lot of discomfort and some malodorous smells.  She underwent a belt lipectomy.  This has removed the excessive rolls that she had and has resolved her hygiene problems that she was having due to the overlapping skin in the lower abdomen. 

 

Photos submitted by Dr. Feagin-#953982

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This is a 38YO lady who had a large, hanging abdominal panniculus.  There were excessive rolls in her flanks.  This large roll of hanging fat in the groin area causes a lot of discomfort and some malodorous smells.  She underwent a belt lipectomy.  This has removed the excessive rolls that she had and has resolved her hygiene problems that she was having due to the overlapping skin in the lower abdomen. 

 

Photos submitted by Dr. Feagin-#953982

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